Analysis of problems and countermeasures in the quality management of clinical medical testing technology
Introduction: with the deepening of health care reform, clinical testing quality management began to put on the important agenda. I have organized a clinical medical testing technology quality management problems and countermeasures paper, welcome to read!
The 21st century is the century of rapid scientific development, with the development of clinical medicine, electronics and other disciplines, the application of new testing technology and automated instruments for clinical medical testing work to bring great convenience and reliability. The laboratory mainly provides high-quality test reports for the clinic, and the quality of the test directly affects the clinical work [1]. Clinical medical testing technology has an important role in the medical process, occupies an important position in the development of medicine, and at the same time relates to the protection of the national health quality, affecting the harmony and stability of society.
The development of technology requires the cooperation of management, however, the current quality management can not keep pace with the rapid development of technology, there are many loopholes in quality management, causing great distress to the people and society. This paper focuses on exploring the problems in the quality management of clinical medical testing technology, and puts forward countermeasures to solve the problem. It is reported as follows:
1 clinical medical testing technology quality management problems
1.1 medical institutions testing conditions and technology is not reasonably equipped. Hospital performance beds are often faced with a shortage of momentum, room design pattern is unreasonable, patients can not get timely test results, easy to cause patients and their families anxious and angry. Part of the laboratory layout does not meet the safety requirements, the lack of long-term planning. Test hardware and equipment can not keep pace with the development of technology, instruments and equipment for a long time can not be updated and purchased and tend to aging trend.
1.2 Laboratory room before the inspection is unreasonable. The clinician for the patient to open the check application form, the patient according to the medical requirements to stay in the specimen sent to the test. Part of the clinician did not apply for the patient's condition to send the test, and a lot of checking the `clinical significance of the project is not very clear, the purpose of the test is not strong. There are some physicians because the diagnosis is not a problem, and casually let the patient for blood sampling and other meaningless form of testing, so that the patient and the paper by the thesis alliance http://收集整理其家属费时费力, while increasing the economic burden of the patient. And the condition is indeed not alleviated, thus losing confidence in the hospital and choose not to seek medical treatment.
In addition, the clinical department specimen extraction time sooner or later, resulting in a long time to wait for specimens and affect the test results. Some nurses do not standardize the operation of the specimen extraction, resulting in a large difference between the test results and the theoretical results, to the clinician's decision caused a great deal of misinformation. Physicians are unable to prescribe the right medication, which is also an important reason why patients are reluctant to seek medical treatment. Part of the quality control managers weak theoretical knowledge, knowledge update delay. Quality control managers use the old theoretical knowledge to test operations, inevitably resulting in systematic error judgment.
1.3 document management disorder, loss of standardization. Document management is the laboratory to carry out and carry out the work of the basic guidelines [2], scientific and standardized document management model and system in order to ensure that the laboratory work standardization, standardization and its reliability. Part of the test personnel are not familiar with the concept of document management and its significance, in the preparation and establishment of the program file documents are not reasonable classification, writing is not standardized, the original test records are incomplete, failing to meet the basic requirements of file preservation. Laboratory managers do not carry out occasional quality checks on the laboratory, resulting in errors that can not be corrected and modified in a timely manner. In addition, the managers of the instrument use, maintenance, calibration and other accounts are not sound enough, quality control products and calibration products there is confusion, so that the use of incorrect, greatly affecting the test results.
1.4 The relationship between testing personnel and clinicians is not very harmonious. The current hospital testing personnel and clinicians of the conflict is increasingly prominent, greatly affecting the medical partnership. Clinicians hope that the test personnel can help find the source of the patient's disease, but the lack of in-depth understanding of the test knowledge, it is easy to confuse the phenomenon of the test program. And test personnel and always hope that clinicians understand the test technology of some highly specialized difficulties, and a lack of communication and exchange between each other, the accumulation of time, and thus in the test personnel and clinicians between the tree set up a communication barrier, resulting in the relationship between each other is not coordinated.
2 measures and countermeasures against the problems of clinical testing work
2.1 Strengthen equipment management, improve the testing environment. According to technical requirements, equipped with suitable testing instruments. Always keep pace with international technological development, the introduction of a wide range of testing areas, high precision instruments and equipment. Improve the instruments and management, and implement ? One to one? or? Two to one? Specialized team management and care. Laboratory on the test personnel strict operating procedures, the purchase of instruments and equipment, archiving, the use of operational management, personnel duties are clearly defined to improve the quality of care of the instrument, to ensure the integrity of the instrument and the accuracy of the equipment testing.
2.2 Improve the pre-laboratory inspection system to improve the quality of quality control. Requirements for clinicians and testing staff to improve their own quality, clinicians require to improve and expand the knowledge of the initial diagnosis, the test staff to strengthen the business knowledge training, improve the quality of testing staff. Enhance the staff to deal with medical emergencies in the emergency response capability, new knowledge, new measurement methods, new instruments, operating principles and steps should be implemented key training and strict assessment. Strengthen the specimen collection, the test department should do strict quality control measures, standardization, standardization, systematic testing, strict and conscientious indoor, inter-room quality control, to ensure that the accuracy and precision of the results, to reduce the experimental operation in the batch and day specimen test results of the error, so that the quality of the test is significantly improved.
2.3 The development of document management standards, and strictly enforced. The implementation of the department director's responsibility, sound document management system [3]. Requirements for the test order by the physician with prescription rights to fill out the item by item, the inspector needs to be approved by the director of the laboratory report right before issuing a report, the end of the test, the test order and the report should be backed up and archived. Develop a manual for the operation of testing instruments, and regularly revised. Test responsible management personnel regularly apply to the section chief to check the quality of various reagents and the sensitivity of the instruments used, precision, calibration on a regular basis. Improve the registration and statistical system, the quantity and quality of the work of registration and statistics, should be filled out completely and accurately, properly stored, and the implementation of filing and archiving. At the same time to strengthen the management of instruments and reagents, the establishment of large-scale instrument files. The establishment of post responsibility system, the implementation of special responsibility.
2.4 Promote communication between the laboratory staff and clinicians. Laboratory to strengthen and clinical departments of interactive cooperation and communication, the hospital to carry out the exchange activities of various departments, requiring people in each department to report on the latest developments in their own departments. Laboratory personnel are required to understand the medical knowledge related to common clinical cases and high incidence cases, to continuously learn and accumulate clinical knowledge and clinical work experience, and to improve professional testing capabilities. Clinicians are required to understand some of the highly specialized difficulties of testing technology and to keep up with the technological development of the laboratory.
Summary: With the deepening of health care reform, following the country's strict management of drugs, clinical test quality management began to put on the important agenda. In the process of clinical medical testing work, quality should be placed at the core, and constantly improve the quality awareness of the test personnel, to reduce the negative impact on the test results due to specimen factors.
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